NCLEX RN Pediatric Questions

NCLEX RN Pediatric Questions Related

Review NCLEX RN Pediatric Questions related questions and content

What is an important consideration regarding TPN administration?

  • A. IV site is kept aseptic while infusing the solution
  • B. Feeding is poured into a pouch and then infused
  • C. Solution is only hung for a maximum of 8 hours at a time New formula is added as needed so the line does not run dry
  • D. Solution is only hung for a maximum of 8 hours at a time h. New formula is added as needed so the line does not run dry
Correct Answer: A

Rationale: An important consideration regarding TPN administration is ensuring the intravenous (IV) site is kept aseptic while infusing the solution. This is crucial to prevent the risk of infection, as TPN solutions are highly concentrated and can provide an ideal environment for the growth of microorganisms. Strict aseptic technique must be maintained during the entire process of TPN administration, from preparation to infusion, to minimize the risk of introducing pathogens into the patient's system. Failure to maintain aseptic technique can lead to serious complications such as bloodstream infections, which can be life-threatening for the patient.

You may also like to solve these questions

After a Whippie procedure for cancer of the pancreas, a client is to receive the following intravenous (IV) fluids over 24 hours; 1000 ml D5W; 0.5 liter normal saline; 1500 ml D5NS. In addition, an antibiotic piggyback in 50 ml D5W is ordered every 8 hours. The nurse calculates that the clients IV fluid intake Tor 24 hours will be:

  • A. 3150ml
  • B. 3650 ml
  • C. 3200 ml
  • D. 3750ml
Correct Answer: C

Rationale: To calculate the total IV fluid intake for 24 hours, we will add up the volume of each type of fluid ordered.

The birthweight usually quadruples by the age of

  • A. 1.5 yr
  • B. 2 yr
  • C. 2.5 yr
  • D. 3 yr
Correct Answer: B

Rationale: Birthweight typically quadruples by 2 years of age.

Although children with Wilms tumor have a favorable prognosis, there are some adverse prognostic factors in children with Wilms tumor EXCEPT

  • A. large tumors
  • B. anaplastic histology
  • C. loss of heterozygosity at chromosome 1p and 16q
  • D. young age at diagnosis
Correct Answer: D

Rationale: Young age at diagnosis is generally associated with a favorable prognosis.

understands that it is important that which of the following diagnostic tests is obtained to help prevent cardiac complications?

  • A. Chest x-ray examination c.White blood cell count
  • B. Throat culture
  • C. Erythrocyte sedimentation rate
Correct Answer: C

Rationale: The erythrocyte sedimentation rate (ESR) is an important diagnostic test that can help identify inflammation in the body, including inflammation in the heart. Elevated ESR levels may indicate the presence of an underlying condition that could potentially lead to cardiac complications if left untreated. Regular monitoring of ESR levels can help in the early detection and prevention of cardiac issues. The other options (A. Chest x-ray examination, B. Throat culture, and D. White blood cell count) are not specific diagnostic tests for assessing cardiac complications.

Which are clinical manifestations of the postterm newborn? (Select all that apply.)

  • A. Excessive lanugo
  • B. Increased subcutaneous fat
  • C. Absence of scalp hair
  • D. Parchment-like skin
Correct Answer: D

Rationale: Postterm newborns are infants born after 42 weeks of gestation. Some common clinical manifestations of postterm newborns include parchment-like, wrinkled skin due to prolonged exposure to amniotic fluid, and long fingernails as a result of intrauterine growth beyond the expected term. Excessive lanugo and absence of scalp hair are not typically seen in postterm newborns. Increased subcutaneous fat may be more common in infants born at term or post-term, but it is not a specific clinical manifestation of postterm newborns. Minimal vernix caseosa is also usually present in postterm newborns.

Copyright © 2025 Nokea. All rights reserved.